The physical feature of gallbladder is gallbladder qi dominating ascending, which has two meanings, one is gallbladder dominates ascending of Yang qi, and the other is gallbladder has the nature of dispersing stagnated qi.Gallbladder has the physical features of gallbladder qi dominating ascending and bile dominating decending. The opposite movement of ascending and descending conforms to Yin and Yang theory in Chinese medicine.

This article introduced the recognitions of the ovigin and development of phlegm and fluid-retention by ancient Chinese and Japanese doctors,as well as the formation of phlegm,the idenfification,and the treatment based on syndrome differentiation.Chinese and Japanese doctors enriched the understanding of phlegm together with the therapeutic methods.

This paper was to discuss the case analysis method for teaching basic theory of TCM. First, it is found that case analysis can help improve learning interest of students and develop their abilities of thinking and analysis. Secondly, it can play a solid foundation for students to study the following professional basic courses and help them gain the interest of other courses, and understand the continuous knowledge of TCM. Finally, it benefited teachers to develop their ability of teaching and clinical practice.

Military medical ethics is a famous theory abroad and have drawn controversy.We should enhance the study of the subject.Understanding the principle and the difficulties is the premise for the study of the theory.

Medical insurance system is good for fair distribution and disposition, dealing with relationships between social benefits and economic benefit, as well as fair implementation on both doctors and patients' intersets, so that it benefits medical moral fairness.

Objective: To analysis the finding of never conduction velocity(NCV) in patients with ALS and investigate the clinical significance of NCV. Methods: Keypoint was applied to estimate the NCV of median,ulnar,tibial,peroneal in 106patients with ALS and 123healthy volunteers,in which sunface electrodes was used for both stimulating and recording. Results: SCV of median and MCV of median,ulnar,peroneal in patient group was a significant difference as compared with the normal subjects;A significant difference was noted in all latency except sensory fiber of median.A significant differencence of compound muscle action potential amplitude of medial,ulnar,tibial was noted in two groups. Conclusion: NCV in patients with ALS could show abnormal slowing,so the valuation for differentiation of NCV is not so good as the clinical signs and the distribution of electromyographic abnormalities.

BACKGROUND: Effect of metabolic disorders after kidney transplantation on prognosis, especially new-onset diabetes after transplantation (NODAT), has aroused concerns. OBJECTIVE: To investigate the risk factors for NODAT in renal transplant recipients, thus providing reference for identifying high-risk patients and taking active prevention measures. METHODS: Clinical data of 365 patients undergoing allograft renal transplantation were analyzed retrospectively. According to whether NODAT occurred or not, all the patients were assigned to NODAT (n=71) and non-NODAT (n=294) groups. The independent risk factors for NODAT were determined using univariate and non-conditional multivariate logistic regression analysis. RESULTS AND CONCLUSION: The cumulative incidence of NODAT in renal transplant recipients within year postoperatively was 19.45%. Non-conditional multivariate logistic regression analysis showed that age ≥ 45 years old, body mass index ≥ 25 kg/m2, family history of diabetes mellitus and acute rejection were associated with NODAT in renal transplant recipients. To conclude, the age, family history of diabetes mellitus, high body mass index and acute rejection can increase the incidence of NODAT in renal transplant recipients.

Objective To explore the clinical effect of pelvic floor muscle rehabilitation therapy to recover pelvic floor dysfunction.Methods 435 cases of 6-8 weeks postpartum urinary incontinence patients were chosen.The urinary incontinence questionnaire ( ICI-QSF) ,and Female Sexual Function Index questionnaire ( FSFI questionnaire) were used to detect maternal urinary incontinence (UI) investigation,pelvic organ prolapse (POP-Q) degree and quality of sexual life questionnaire.Ⅰ muscle,Ⅱ muscle strength and fatigue, vaginal and the change of dynamic pressure for pelvic floor functional change before and after Pelvic floor rehabilitation were compared.Pelvic floor mus-cle rehabilitation treatment included:imitation bioelectricity stimulus,biofeedback,scene reflection training and Kegel exercises.Results After pelvic floor muscle rehabilitation,pelvic floor function improved significantly,pelvic floor muscle strength increase, decrease fatigue, vaginal dynamic pressure rose significant difference:Electrical values (μV) before treatment (5.6 ±1.8),after treatment(15.1 ±4.6),t =3.6,P <0.05;Vaginal dynamic pressure (cmH2O) before treatment(48.7 ±11.0),after treatment (86.3 ±5.1)cmH2O(t=7.2,P<0.01);Fatigue obvi-ously improved,(P<0.01),the effect of Urinary incontinence treatment is very obvious (t=5.6,P<0.05)and pelvic organ prolapse improved significantly:Before treatment vaginal wall prolapse II degrees 63 people,after treat-ment 14 people,remission rate 82%,and Before treatment uterine prolapse 172 people,after treatment uterine pro-lapse 39 people,the response rate of 77.3% (P <0.01),sexual function improved significantly:before treatment score is (78.00 ±20.45) and after treatment scores is (100.00 ±25.36),t=8.6 (P<0.01).Conclusion Pelvic floor muscle rehabilitation effectively improve postpartum women pelvic floor function,can achieve the purpose of the treatment of urinary incontinence,improve pelvic organ prolapse and the quality of sex life.

This article summarizes the experience for the application of digital medical imaging devices. Such aspects have to be emphasized on as the cultivation of compound personnel for application & maintenance of digital medical imaging devices, optimization of filing, transmission and management of digital images as well as the preventive maintenance of digital imaging devices.

Objective To obtain the overall picture of the PubMed cited publications by major domestic medical institutions in 2013;and to learn the distribution of the number of publication,published journals,impact factor of journal,and articles published in China and overseas.Methods Information was retrieved from PubMedplus database,and the statistical analysis was conducted to assess the distribution in the number of publications,published journals and impact factor of journals by major medical institutions in China.Results Top 30 medical institutions of China in 2013 published 12178 PubMed cited papers on 1890 journals,in which 10602 papers were in English accounted for 87.06％,and 1575 papers were in Chinese accounted for 12.93％.2552 papers were Published in the top 13 journals accounted for 20.96％.PLoS One published the most of total papers.Conclusions The level of journal that published papers for major domestic medical institutions needs to be improved,and each medical institution has its own advantage in different disciplines.